# VIUDEZ NP IN PSYCHIATRY SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356247613
- **Authorized official:** MIKKO DANE VIUDEZ PMHNP-BC (FOUNDER AND CLINICAL DIRECTOR)
- **Authorized official phone:** (630) 456-5251

## Contact information

- **Practice address:** 505 W 43RD ST APT 3K, NEW YORK, NY 10036-0091
- **Practice address phone:** (630) 456-5251
- **Practice address fax:** (646) 809-8709
- **Mailing address:** 505 W 43RD ST APT 3K, NEW YORK, NY 10036-0091
- **Mailing address phone:** (630) 456-5251
- **Mailing address fax:** (646) 809-8709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2026
- **Last updated:** 10/14/2026